Individual
MRS. ELISHEVA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7730 LAGO DEL MAR DR, UNIT 606, BOCA RATON, FL 33433-4907
(917) 670-1336
Mailing address
7730 LAGO DEL MAR DR, UNIT 606, BOCA RATON, FL 33433-4907
(917) 670-1336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
013584-1
NY
225X00000X
Occupational Therapist
Primary
OT12440
FL
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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